Democratic state lawmakers are proposing legislation that would expand the state’s Medicaid program and establish a state-run healthcare exchange. While Medicaid expansion remains somewhat of an open question, GOP lawmakers say a state exchange won’t happen, at least for now.
The federal Affordable Care Act mandates the creation of healthcare exchanges. Those would be a type of marketplace for insurance companies and consumers in each state. The exchanges can either be run by the state, the federal government, or a collaboration between the two.